| NPI | 1629432828 |
|---|---|
| Doing Business As | MSMG FM ELIZABETHTON B |
| Entity Type | Organization |
| Authorized Contact | CARL STEVEN KILGORE President 423-915-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-10-07 |